[46F] With watery diarrhea and right rib pain

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

Diarrhea and Pain Under Right Ribs

1. Post-Cholecystectomy Syndrome: Since you had your gallbladder removed two years ago, it's possible that your symptoms are related to post-cholecystectomy syndrome. This can include diarrhea and abdominal pain, particularly after eating fatty foods.
2. Bile Acid Malabsorption: This condition can occur after gallbladder removal and can cause chronic diarrhea. It happens when bile acids are not properly reabsorbed in the intestines.
3. Irritable Bowel Syndrome (IBS): IBS can cause chronic diarrhea and abdominal pain. Stress and dietary changes can exacerbate symptoms.
4. Pancreatic Insufficiency: This condition can cause diarrhea and abdominal pain due to the pancreas not producing enough digestive enzymes.

Low GFR and High A1c

1. Chronic Kidney Disease (CKD): A GFR of 42 indicates moderate kidney dysfunction. This could be related to your Hashimoto's disease or other underlying conditions.
2. Diabetes or Prediabetes: An A1c of 7.6 suggests poor blood sugar control, which can affect kidney function. Even if you haven't been diagnosed with diabetes, this level is concerning and needs further evaluation.

What you can do

Diarrhea and Pain Under Right Ribs

• Dietary Adjustments: Avoid fatty, spicy, and greasy foods that can exacerbate diarrhea and abdominal pain. Consider a low-fat diet.
• Hydration: Ensure you stay well-hydrated, especially with chronic diarrhea. Drink plenty of water and consider oral rehydration solutions.
• Over-the-Counter Medications: Anti-diarrheal medications like loperamide (Imodium) can help manage symptoms, but consult your doctor before use.
• Medical Consultation: See a gastroenterologist for further evaluation. They may recommend bile acid binders or other treatments.

Low GFR and High A1c

• Blood Sugar Management: Work with your healthcare provider to manage your blood sugar levels. This may involve lifestyle changes, medications, or insulin therapy.
• Kidney Function Monitoring: Regularly monitor your kidney function with your healthcare provider. They may recommend dietary changes, medications, or other interventions to protect your kidneys.
• Lifestyle Changes: Adopt a kidney-friendly diet, which includes reducing salt, protein, and phosphorus intake. Regular exercise and maintaining a healthy weight are also important.

General Tips

• Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and get insights. This can help you and your healthcare provider understand your condition better.
• Regular Check-Ups: Schedule regular check-ups with your healthcare provider to monitor your conditions and adjust treatments as needed.

What you should look out for

Given the complexity of your symptoms, it's important to seek medical care promptly. Reasons to seek care more urgently include:

• Severe Abdominal Pain: If your pain becomes severe or unbearable.
• Signs of Dehydration: Such as dizziness, dry mouth, or reduced urine output.
• Uncontrolled Blood Sugar: If you experience symptoms of high or low blood sugar, such as extreme thirst, frequent urination, confusion, or fainting.
• Worsening Kidney Function: If you notice swelling, fatigue, or changes in urine output.

Remember, while I can provide information and suggestions, it's crucial to consult with real healthcare professionals for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to continue the conversation.